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Montana rates for HCPCS 79005

Radiopharmaceutical therapy, by oral administration

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $147.91 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $208.93
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.82 / $128.82 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $190.55 / $269.15
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $588.84
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.82 / $128.82 / $162.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $208.93 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $123.03 / $239.88